| NPI | 1902498124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA HARRELL HOLDEN Owner 601-916-7131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-02-09 |